NPI: 1609820190 · HUMBOLDT, TN 38343 · Optometrist
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 67 | $1K |
| 2024 | 111 | $761.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 12 | 12 | $480.00 | |
| 92340 | 28 | 28 | $405.00 | |
| V2020 | Frames, purchases | 42 | 42 | $400.00 |
| 92015 | 42 | 42 | $280.00 | |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 42 | 42 | $140.00 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 12 | 12 | $130.00 |